Liberty Medical Supply Inc in Port St Lucie - Clinical Medical Laboratory
Liberty Medical Supply Inc - NPI 1245291798
Liberty Medical Supply Inc is a Clinical Medical Laboratory in Port St Lucie, Florida. Liberty Medical Supply Inc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Liberty Medical Supply Inc is 1245291798. The last update date is 2011-10-13.
Liberty Medical Supply Inc's current location address is 10400 S Us Highway 1, Port St Lucie, Florida. You can contact this provider via phone number 8668369936 and fax number 8886402184. The mailing address for Liberty Medical Supply Inc is 10400 S Us Highway 1, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Liberty Medical Supply Inc |
|---|---|
| Address | 10400 S Us Highway 1, Port St Lucie, Florida |
| Phone Number | 8668369936 |
| Fax Number | 8886402184 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kennedy Joan |
| Telephone Number | 7723985800 |
NPI Number Detail
| NPI Number | 1245291798 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2011-10-13 |
Provider Mailing Address Detail
| Address | 10400 S Us Highway 1 |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349525600 |
| Phone Number | 8668369936 |
| Fax Number | 8886402184 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 800017356 |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| E9098 | MEDICARE PART B - FIRST COAST |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Liberty Medical Supply Inc by the Centers for Medicare & Medicaid Services?
The Liberty Medical Supply Inc has been assigned the NPI (National Provider Identifier) 1245291798 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Liberty Medical Supply Inc?
The Liberty Medical Supply Inc is physically situated at 10400 S Us Highway 1, in the city of Port St Lucie, state of FL, with the postal code 349525600.
What is the Liberty Medical Supply Inc's specialty and taxonomy code?
The Liberty Medical Supply Inc's specialty is Clinical Medical Laboratory, and the corresponding taxonomy code is 291U00000X.
When did the Liberty Medical Supply Inc receive its 1245291798?
The Liberty Medical Supply Inc was issued its 1245291798 on 2006-03-31, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Liberty Medical Supply Inc most recently updated or revised?
The details related to Liberty Medical Supply Inc, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-13.
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